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Organization
EVOLVE YOGA & FITNESS LLC
Active
Organization
EVOLVE YOGA & FITNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CURTIS EVRARD OWNER (OWNER)
(773) 318-7820
Entity
Organization
Contact information
Practice address
7252 W FOSTER AVE, CHICAGO, IL 60656-3612
(708) 762-3362
Mailing address
5115 N MULLIGAN AVE, CHICAGO, IL 60630-1812
(773) 318-7820
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
—
NULL
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
—
NULL
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
133VN1101X
Gerontological Nutrition Registered Dietitian
—
NULL
133VN1101X
Gerontological Nutrition Registered Dietitian
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
Primary
—
NULL
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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